Ciwon daji na endometrium
Endometrial cancer shine cutar kansa da ke farawa a cikin endometrium, rufin mahaifa (mahaifa).
Ciwon daji na endometrial shine mafi yawan nau'in sankarar mahaifa. Ba a san ainihin abin da ke haifar da cutar kansa ta endometrial ba. Ara yawan ƙwayar estrogen na iya taka rawa. Wannan yana kara gina rufin mahaifa. Wannan na iya haifar da rashin haɗari mai girma na endometrium da ciwon daji.
Mafi yawan lokuta na cututtukan daji na endometrial suna faruwa ne tsakanin shekara 60 zuwa 70. few Yan lokuta kaɗan na iya faruwa kafin shekaru 40.
Abubuwan da ke gaba da alaƙa da homoninka suna haɓaka haɗarinku ga cutar kansa ta endometrial:
- Maganin maye gurbin Estrogen ba tare da amfani da progesterone ba
- Tarihin polyps na endometrial
- Lokaci da ba safai ba
- Taba kasancewa mai ciki
- Kiba
- Ciwon suga
- Polycystic ovary ciwo (PCOS)
- Fara haila tun yana karami (kafin ya kai shekara 12)
- Fara al'ada bayan shekaru 50
- Tamoxifen, magani ne da ake amfani dashi don maganin sankarar mama
Mata masu yanayin da ke gaba suna da alama suna cikin haɗarin haɗarin cutar kansa ta endometrial:
- Ciwan ciki ko kansar mama
- Ciwon ciki
- Hawan jini
Kwayar cututtukan cututtukan daji na endometrial sun hada da:
- Zubar da jini mara kyau daga farji, gami da zubar jini tsakanin lokaci ko tabo / jini bayan gama al'ada
- Mafi tsayi, nauyi, ko lokuttan lokuttan zubar jini ajikin mace bayan shekaru 40
- Painananan ciwon ciki ko ƙwanƙwasa ƙugu
A lokacin matakan farko na cutar, jarrabawar pelvic galibi al'ada ce.
- A cikin matakai na ci gaba, ƙila a sami canje-canje a cikin girma, sura, ko jin mahaifa ko tsarin kewaye.
- Pap smear (na iya haifar da zato game da cutar sankarar mahaifa, amma ba ya tantance ta)
Dangane da alamun ku da sauran binciken ku, ana iya buƙatar wasu gwaje-gwaje. Za a iya yin wasu a cikin ofishin mai ba da lafiyar ku. Wasu za a iya yi a asibiti ko cibiyar tiyata:
- Endometrial biopsy: Yin amfani da ƙarami ko sirara catheter (bututu), ana ɗauke nama daga layin mahaifa (endometrium). Ana nazarin ƙwayoyin a ƙarƙashin madubin likita don ganin ko wani ya kasance mahaukaci ne ko cutar kansa.
- Hysteroscopy: An saka wata na’ura mai kama da madubin hangen nesa ta cikin farji da kuma bude bakin mahaifa. Yana bawa mai samarda damar duba cikin mahaifa.
- Duban dan tayi: Ana amfani da igiyar ruwa don yin hoton gabobin pelvic. Ana iya yin duban dan tayi ta al'ada ko ta mahaifa. Duban dan tayi na iya tantance idan layin mahaifa ya bayyana mara kyau ne ko kuma yayi kauri.
- Sonohysterography: Ana sanya ruwa a cikin mahaifa ta cikin bakin ciki, yayin da hotunan duban dan tayi na mahaifa. Ana iya yin wannan aikin don ƙayyade kasancewar kowane mahaifa mahaifa mara kyau wanda zai iya zama alamar cutar kansa.
- Hoto na Magnetic Resonance (MRI): A wannan gwajin gwajin, ana amfani da maganadisu masu ƙarfi don ƙirƙirar hotunan gabobin ciki.
Idan aka gano kansar, ana iya yin gwajin hoto don ganin ko kansar ta bazu zuwa sauran sassan jiki. Wannan ana kiran sa staging.
Matakan ciwon daji na endometrial sune:
- Mataki na 1: Ciwon daji yana cikin mahaifa ne kawai.
- Mataki na 2: Ciwon kansa yana cikin mahaifa da kuma mahaifa.
- Mataki na 3: Ciwon daji ya bazu a wajen mahaifar, amma bai wuce yankin ƙashin ƙugu na gaskiya ba. Ciwon daji na iya ƙunsar ƙwayoyin lymph a ƙashin ƙugu ko kusa da aorta (babbar jijiya a cikin ciki).
- Mataki na 4: Ciwon daji ya bazu zuwa cikin ciki, mafitsara, ciki, ko wasu gabobin.
Hakanan an bayyana cutar kansa a matsayin aji 1, 2, ko 3. Grade 1 shine mafi ƙarancin tashin hankali, kuma aji na 3 shine mafi saurin fada. Tsanani yana nufin cewa kansar ta girma kuma ta bazu cikin sauri.
Zaɓuɓɓukan magani sun haɗa da:
- Tiyata
- Radiation far
- Chemotherapy
Za a iya yin aikin tiyata don cire mahaifa (hysterectomy) a cikin mata masu fama da cutar kansa ta farko. Dikita na iya cire bututun da kwayayen.
Yin aikin tiyata haɗe tare da maganin fuka wani zaɓi ne na magani. Ana amfani dashi sau da yawa ga mata tare da:
- Mataki na 1 wanda ke da babbar dama ta dawowa, ya bazu zuwa ƙwayoyin lymph, ko kuma aji 2 ne ko 3
- Mataki na 2 cuta
Chemotherapy ko hormonal far ana iya yin la'akari a wasu yanayi, mafi yawanci ga waɗanda ke da mataki na 3 da 4 cuta.
Kuna iya sauƙaƙa damuwar rashin lafiya ta hanyar haɗuwa da ƙungiyar tallafawa kansa. Yin tarayya tare da wasu waɗanda suke da masaniya da matsaloli na yau da kullun na iya taimaka muku kada ku ji ku kaɗai.
Ciwon daji na endometri galibi ana gano shi a matakin farko.
Idan cutar kansa bata yadu ba, kashi 95% na mata suna raye bayan shekara 5. Idan ciwon daji ya bazu zuwa gabobin nesa, kusan kashi 25% na mata suna da rai bayan shekaru 5.
Matsalolin na iya haɗawa da ɗayan masu zuwa:
- Anemia saboda asarar jini (kafin ganewar asali)
- Perforation (rami) na mahaifa, wanda na iya faruwa yayin D da C ko biopsy na endometrial
- Matsaloli daga tiyata, radiation, da chemotherapy
Kira don alƙawari tare da mai ba da sabis idan kuna da ɗayan masu zuwa:
- Duk wani jini ko tabo da yake faruwa bayan fara jinin al'ada
- Zubar jini ko tabo bayan saduwa ko dusa
- Zuban jini wanda ya fi kwana 7
- Halin al'ada na al'ada wanda ke faruwa sau biyu a wata
- Sabon fitarwa bayan gama al'ada
- Ciwon mara na ciki ko ƙyallen ciki wanda baya tafiya
Babu wani gwajin gwaji mai tasiri don cutar kansar mahaifa (mahaifa).
Mata da ke da haɗarin haɗari ga cututtukan endometrial ya kamata likitocin su su bi a hankali. Wannan ya hada da matan da ke shan:
- Maganin maye gurbin Estrogen ba tare da maganin progesterone ba
- Tamoxifen fiye da shekaru 2
Za'a iya yin la'akari da jarrabawar pelvic akai-akai, Pap shafawa, duban bakin ciki, da kuma biopsy na ƙarshe a wasu yanayi.
Hadarin ga cutar kansa ta endometrial an rage ta:
- Kula da nauyi na al'ada
- Yin amfani da kwayoyin hana daukar ciki na tsawon shekara guda
Endometrial adenocarcinoma; Mahaifa adenocarcinoma; Ciwon mahaifa; Adenocarcinoma - endometrium; Adenocarcinoma - mahaifa; Ciwon daji - igiyar ciki; Ciwon daji - endometrial; Ciwon daji na mahaifa
- Hysterectomy - ciki - fitarwa
- Hysterectomy - laparoscopic - fitarwa
- Hysterectomy - farji - fitarwa
- Rarraba kwancen ciki - fitarwa
- Pelvic laparoscopy
- Tsarin haihuwa na mata
- D da C
- Ndomarshen biopsy
- Ciwon mahaifa
- Mahaifa
- Ciwon daji na endometrium
Armstrong DK. Ciwon cututtukan mata. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 189.
Boggess JF, Kilgore JE, Tran A-Q. Ciwon mahaifa. A cikin: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff na Clinical Oncology. Na 6 ed. Philadelphia, PA: Elsevier; 2020: babi na 85.
Morice P, Leary A, Creutzberg C, Abu-Rustum N, Darai E. Ciwon daji na ƙarshe. Lancet. 2016; 387 (10023): 1094-1108. PMID: 26354523 pubmed.ncbi.nlm.nih.gov/26354523/.
Yanar gizo Cibiyar Cancer ta Kasa. Endometrial treatment cancer treatment (PDQ) - ƙwararren mai sana'a. www.cancer.gov/types/uterine/hp/endometrial-treatment-pdq. An sabunta Disamba 17, 2019. An shiga Maris 24, 2020.
Yanar gizo Yanar Gizon Cutar Kanjamau ta Kasa. NCCN jagororin aikin likita a cikin ilimin ilimin halittar jiki (jagororin NCCN): neoplasms na mahaifa. Sigar 1.2020. www.nccn.org/professionals/physician_gls/pdf/uterine.pdf. An sabunta Maris 6, 2020. An shiga Maris 24, 2020.